Abstract

Subthreshold depression (StD) affects people who experience clinically relevant depressive symptoms, which does not meet the diagnostic criteria for major depressive disorder (MDD). StD represents an ideal model for understanding the pathophysiological mechanisms of depression. Impaired emotion processing is a core feature of depression; careful investigation is required to better understand the neural correlates of emotion processing in depressed populations. In the current study, we explored whether the resting-state functional connectivity of the amygdala, a hub that taps a wide range of brain areas involved in emotion processing, is altered in individuals with StD when compared with healthy controls. Resting-state imaging data was collected from 59 individuals with StD and 59 age- and gender-matched controls. We found that the resting-state functional connectivity of the left amygdala with the cognitive control network and the left insula was significantly lower in people with StD than that in healthy controls. Such association was not observed in the right amygdala. Furthermore, functional connectivity strength between the left amygdala and the left precuneus was positively associated with depressive symptoms in individuals with StD. Our findings are in line with those reported in subjects with MDD, which may assist in further elucidating the pathophysiological mechanisms of depression, and contribute to the development of tailored treatments for individuals with StD who are at high risk of developing MDD.

Highlights

  • Subthreshold depression (StD) affects people who experience clinically relevant depressive symptoms, which does not meet the diagnostic criteria for major depressive disorder (MDD)

  • There were no significant differences in demographic characteristics, including age, gender, and head motion profile indexed by frame displacement between StD group and the controls (Ps > 0.05)

  • We found that the resting-state functional connectivity (rs-FC) of the left amygdala with the bilateral middle frontal gyri and the left insula showed a significant decrease in individuals with StD compared with that in healthy controls, which was not observed in the right amygdala

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Summary

Introduction

Subthreshold depression (StD) affects people who experience clinically relevant depressive symptoms, which does not meet the diagnostic criteria for major depressive disorder (MDD). We explored whether the resting-state functional connectivity of the amygdala, a hub that taps a wide range of brain areas involved in emotion processing, is altered in individuals with StD when compared with healthy controls. Patients with MDD show attentional biases toward cues for sadness or d­ ysphoria[9] and have a tendency to interpret neutral or positive information negatively compared with non-depressed i­ndividuals[10,11] Because these negative biases appear to have a key role in the pathophysiology and maintenance of depressive states, further careful investigation is required to better understand emotion processing in depressed p­ opulations[12,13]. There is evidence to support that neurofeedback from neural activity of the amygdala substantially reduces depressive symptoms, and predicts reduction of depressive ­symptoms[22,23]

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